Ex99.A.5.h
Additional Insurance Rider
This rider provides term insurance on the life of the Insured. This insurance is convertible for a limited period. We discuss this rider, and the rules that apply to it, in the provisions that follow. | ||
Rider Part Of The Policy | This rider is made a part of this policy as of the Rider Issue Date in return for the application for this rider and the payment of monthly rider insurance charges, which are discussed later in this rider. All of the policy provisions apply to this rider, except for those that are inconsistent with this rider. | |
Rider Benefit | This rider provides that the Rider Face Amount is added to the policy Face Amount in determining the amount of benefit under the Death Benefit Option in effect under the policy. The Initial Rider Face Amount is shown in the Policy Specifications for this rider. The Rider Face Amount may be increased or decreased under the terms of this rider. | |
Dates - Rider Date, Rider Anniversary Date, Rider Year, Rider Issue Date, Rider Expiration Date | The Rider Date is shown in the Policy Specifications for this rider. It is the starting point for determining the Rider Anniversary Dates. The first Rider Anniversary Date is one year after the Rider Date. The period from the Rider Date to the first Rider Anniversary Date, or from one Rider Anniversary Date to the next, is called a Rider Year. | |
The Rider Issue Date is also shown in the Policy Specifications for this rider. This Date starts the contestability and suicide periods for the insurance provided by this rider. We discuss contestability and suicide later in this rider. This Rider is in force from the Rider Issue Date or, if later, the date the first premium under this policy is received in good order at our Administrative Offices. | ||
The Rider Expiration Date (also shown in the policy Specification for this rider) is the date insurance coverage under this rider ends. While coverage under this rider is in force, it will continue to, but not including, the Rider Expiration Date. | ||
Ages - Rider Issue Age, Rider Attained Age | The Rider Issue Age (shown in the policy specifications for this rider) is the age of the Insured on the birthday nearest the Rider Date. | |
The Rider Attained Age is the Rider Issue Age increased by the number of full Rider Years that have elapsed. | ||
Insurance Charges | Insurance charges for this rider are due on each Monthly Charge Date prior to the Rider Expiration Date. The maximum monthly insurance charge rates per $1,000 of rider insurance risk are shown in the Tables Of Maximum Rider Insurance Charges in the Policy Specifications for this rider. The maximum monthly rider insurance charge rates for the Initial Rider Face Amount and for each Rider Face Amount increase will be shown in separate tables. | |
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Monthly insurance charges for this rider are computed as part of the policy monthly insurance charge as described in the Insurance Charge provision in Part 3 of the policy. The rider insurance risk for the initial Rider Face Amount and for each increase in Rider Face Amount is computed as part of the policy insurance risk, which is described in the Insurance Charge provision of the policy. The Initial Rider Face Amount and any increase in Rider Face Amount are treated as increases in the policy Face Amount in that provision. | ||
In determining the combined insurance risk for the policy and this rider, the insurance risk may be increased due to the minimum death benefit as described in the Insurance Charge provision of this policy. Such an increase will be allocated to the most recently issued policy Face Amount and Rider Face Amount increases that required evidence of insurability. This pro rata allocation will be based on the total policy Face Amount and the total Rider Face Amount. | ||
Rider Premium | The Rider Premium Expense Factor is shown in the Policy Specifications for this rider. It is used to determine the premium expense charge and the net premium. See the Net Premium provision in Part 2 of this policy. | |
Expense Factor | ||
While this rider is in force, premium payments made on this policy will be allocated to each segment of the policy Face Amount and to any benefit rider this policy has, including this rider. This allocation will be made on a pro rata basis using the Premium Expense Factor for each segment of the policy Face Amount, the Rider Premium Expense Factor for each rider, and the Rider Premium Expense Factors for any increases in each rider. | ||
Increases In | While this rider is in force, the Rider Face Amount may be increased upon written application. We require evidence of insurability, satisfactory to us, for an increase. The amount of each increase must be for at least the Minimum Rider Face Amount Increase shown in the Policy Specifications for this rider. | |
The Rider Face | ||
Amount | ||
If the account value of the policy is insufficient to continue the policy and this rider in force for three months at the new monthly charges and interest, we may require a payment sufficient to increase the account value to such amount. | ||
Any increase in the Rider Face Amount that is elected under an insurability protection type of rider will be effective as directed in that rider. Any other increase will be effective on the policy Monthly Charge Date that is on, or precedes, the date we approve the application for it. Monthly rider charges for an increase will be deducted from the policy account value starting on the effective date of the increase. | ||
No increase in the Rider Face Amount will be permitted after the Rider Anniversary Date nearest the Insured's 85th birthday. | ||
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Decreases In | After the first Rider Year, the Rider Face Amount may be decreased by the Owner's written request. No Rider Face Amount decrease will be permitted within one year following the effective date of any Rider Face Amount increase or policy Face Amount increase. Any decrease in the Rider Face Amount that results from the Owner's written request will be effective on the policy Monthly Charge Date that is on, or precedes, the date we receive the written request. | |
The Rider Face Amount also may be decreased as a result of a withdrawal or a change in Death Benefit Option, as described in the Making Withdrawals and Changes In The Death Benefit Option provisions of the policy. If the policy Face Amount is reduced under the terms of either provision, then the Rider Face Amount is not reduced. However, if the withdrawal or Death Benefit Option change would not be allowed due to the Minimum Face Amount limit in the provision, then the withdrawal or Death Benefit Option change will be allowed under the following conditions: | ||
1. The policy Face Amount will be reduced by the amount, if any, that would reduce it to the Minimum Face Amount; | ||
2. The Rider Face Amount will be reduced by the balance of the amount indicated by the terms of the policy provision; and | ||
3. Any decrease in Rider Face Amount due to a withdrawal or Death Benefit Option change will be effective as of the date of the withdrawal or change. | ||
If a Rider Face Amount decrease follows one or more Rider Face Amount increases, the decrease is taken from the most recent Rider Face Amount increase(s). | ||
Conversion | While this rider is in force, all or part of the Rider Face Amount may be converted to new life insurance on the Insured. Conversion may be made at any time before the Rider Attained Age 70. A written application will be needed. However, evidence of insurability will not be required. | |
Conversion will be effective on the policy Monthly Charge Date that is on, or precedes, the date we receive the written application in good order. Insurance converted under this rider will continue to, but not including, that Monthly Charge Date. | ||
The new life insurance on the Insured will be effective on the date of the conversion and must meet the following requirements: | ||
1. It must be flexible premium adjustable variable life insurance policy then offered by us or one of our affiliates that could be purchased on the life of the Insured; | ||
2. The face amount of coverage will be the amount of Rider Face Amount converted; | ||
3. It will be issued at the rates then available using the age of the Insured on the nearest birthday and the comparable risk class(es) under this rider for the amount converted; | ||
4. It will be subject to any limitations of risk and any assignments in effect for the Insured under this rider; and | ||
5. It will include any benefit riders only with our consent. | ||
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In addition, if only part of the Rider Face Amount is converted: | ||
1. The amount converted must meet the minimum amount requirements of the new life insurance effective on the date of conversion; and | ||
2. If a partial conversion follows one or more increases in the Rider Face Amount, the amount converted is taken from the most recent increase(s) | ||
Upon conversion the new life insurance will be modified to show that the suicide and contestability periods will be measured from the date(s) applicable under this rider. | ||
Contestability | We can bring legal action to contest the validity of any life insurance coverage under this rider for the Insured for any material misrepresentation of a fact made in the application for that coverage. However, we cannot, in the absence of fraud, contest the validity of any such life insurance coverage after that coverage has been in force during the lifetime of the Insured for two years or, if that coverage is reinstated, for two years after the date of reinstatement. | |
Misstatement of
| If the Insured's date of birth or gender as given in the application is not correct, the Rider Face Amount will be adjusted. The adjustment will reflect the amount provided by the most recent monthly rider insurance charge using the correct age and gender. If the adjustment is made while the Insured is living, monthly rider insurance charges after the adjustment will be based on the correct age and gender. | |
Suicide | If the Insured commits suicide, while sane or insane, within two years after the life insurance coverage under this rider becomes effective and while this rider is in force, we will pay a limited death benefit to the beneficiary. In this case, the limited benefit will be the monthly rider insurance charges deducted for that coverage. However, there will be no separate death benefit under this rider if a limited death benefit is payable under the policy Death By Suicide provision due to suicide within two years after the policy Issue Date or after this policy is reinstated. | |
Termination Of This Rider | This rider will continue in force to, but not including, the Rider Expiration Date. However, this rider will end before that date when any of the following occurs: | |
• The end of the grace period for an unpaid premium under the policy; | ||
• Termination of this policy for any other reason; | ||
• Change of this policy to a different policy on which this rider is not available; or | ||
• Conversion of the remaining Rider Face Amount under this rider. | ||
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Cancellation Of This Rider | This rider may be cancelled by the Owner's written request. Such cancellation will take effect on the policy Monthly Charge Date that is on, or precedes, the date we receive the written request in good order. Insurance under this rider will continue to, but not including, the effective date of cancellation. | |
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | ||
/s/ RJ O'Connell | /s/ Ann F. Lomeli | |
PRESIDENT | SECRETARY | |
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POLICY SPECIFICATIONS ADDITIONAL INSURANCE RIDER |
POLICY NUMBER: | [123456789] | |
INSURED: | [WILLIAM F. DOE] | |
RIDER ISSUE AGE AND GENDER: | [35] [MALE] | |
RIDER DATE: | [JANUARY 1, 2001] | |
RIDER ISSUE DATE: | [JANUARY 1, 2001] | |
RIDER EXPIRATION DATE: | [JANUARY 1, 2066] | |
INITIAL RIDER FACE AMOUNT: | [$100,000] | |
MINIMUM RIDER FACE AMOUNT INCREASE: | [$15,000] | |
RIDER PREMIUM EXPENSE FACTOR: | [000.00] |
TABLE OF MAXIMUM MONTHLY RIDER INSURANCE CHARGES
THOUSAND OF RIDER INSURANCE RISK
RISK CLASS: [NONTOBACCO]
RIDER ATTAINED AGE | MONTHLY RATE | RIDER | MONTHLY RATE | RIDER ATTAINED AGE | MONTHLY RATE | |||||
35 | 0.14083 | 57 | 0.79083 | 79 | 7.14333 | |||||
36 | 0.14750 | 58 | 0.86833 | 80 | 7.80583 | |||||
37 | 0.15667 | 59 | 0.95583 | 81 | 8.54333 | |||||
38 | 0.16667 | 60 | 1.05333 | 82 | 9.37667 | |||||
39 | 0.17833 | 61 | 1.16167 | 83 | 10.31583 | |||||
40 | 0.19083 | 62 | 1.28500 | 84 | 11.34250 | |||||
41 | 0.20583 | 63 | 1.42583 | 85 | 12.43333 | |||||
42 | 0.22083 | 64 | 1.58500 | 86 | 13.56667 | |||||
43 | 0.23833 | 65 | 1.76083 | 87 | 14.73250 | |||||
44 | 0.25583 | 66 | 1.95000 | 88 | 15.90750 | |||||
45 | 0.27667 | 67 | 2.15500 | 89 | 17.10750 | |||||
46 | 0.29917 | 68 | 2.37500 | 90 | 18.34917 | |||||
47 | 0.32333 | 69 | 2.61500 | 91 | 19.65333 | |||||
48 | 0.34917 | 70 | 2.88583 | 92 | 21.06250 | |||||
49 | 0.37833 | 71 | 3.24250 | 93 | 22.63583 | |||||
50 | 0.40917 | 72 | 3.54667 | 94 | 24.63750 | |||||
51 | 0.44583 | 73 | 3.95333 | 95 | 27.49667 | |||||
52 | 0.48833 | 74 | 4.41000 | 96 | 32.04583 | |||||
53 | 0.53583 | 75 | 4.90000 | 97 | 40.01667 | |||||
54 | 0.59083 | 76 | 5.42167 | 98 | 54.83167 | |||||
55 | 0.65167 | 77 | 5.97000 | 99 | 83.33000 | |||||
56 | 0.71917 | 78 | 6.53917 |
The above rates are based on the Commissioners 1980 Standard Ordinary Nonsmoker Mortality Table - Male